摘要
目的掌握新疆牧区少数民族血脂水平及血脂异常的患病现况,为今后血脂异常防治工作的开展筛选高危人群。方法采用整群随机抽样的方法对居住在新疆牧区和布克赛尔蒙古自治县和福海县两地的1084例哈萨克人和蒙古人进行现况调查;同时采集空腹静脉血,按照血脂测定的标准方法检测血浆总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C),采用计算法计算高密度脂蛋白胆固醇(HDL-C)的值。结果(1)高LDL-C、低HDL-C血症为该牧区人群血脂异常的主要类型,前者患病率男女性组分别为51.0%,32.1%(χ2=39.50,P<0.01);后者患病率分别为50.2%,29.8%(χ2=45.60,P<0.01),均接近全国最高水平。(2)血脂异常的患病率与年龄、性别有关。60岁年龄组以前男性组大于女性组,60岁年龄组以后则为女性组大于男性组);随年龄的增加男女患病率均成增加趋势。(3)HDL-C水平总趋势是女性组高于男性组,但差异无显著性意义。(4)与内地其他地区调查结果比较,本次调查人群的TC,LDL-C水平均处在较高水平,而TG,HDL-C处于较低水平。(5)与10年前该民族的血脂水平比较,TC,TG,LDL-C呈增加趋势,HDL-C呈递减趋势。结论新疆牧区哈萨克人和蒙古人为血脂异常的高发人群,其原因可能除与该民族的遗传易感性有关外。
Aim To study the prevalence of blood lipid level and abnormal lipdemia in Xinjiang pasturing area minority,and select high risk population.Methods A current investigation of 1 084 Mongol and Kazakan people with the methods of random sample, meanwhile, according to criterion to collect vein blood to measure blood TC,TG,LDL C , to calculate HDL C with numeration.Statistical analysis with SPSS software package. To take corresponding statistical methods according to characteristics of the documents.Results (1) Hyper LDL C,low HDL C are the key types in this pasturing area, the former prevalence was 51.0% and 32.1% among the male and female; and the later was 50.2% and 29.8% (χ 2=39.50,45.60,P< 0.01), both near average standard in our country.(2)Abnormal lipdemia was related to age and sex,that was more higher in the male group than that in female group, and increased with the age, but the female group was more higher than male group over 60 years old.(3)The general standard tendency of HDL C in female group was higher than that in male group, but with no statistics difference.(4)Compared with other areas,TC,LDL C standard on the higher level,but TG,HDL C on the lower.(5)Compared with the blood lipid level of the same minority ten years before,TC,TG,LDL C showed an increasing trend,however,HDL C which had protection to human body showed a decreasing trend.Conclusion The Mongol and Kazakan people in Xinjiang pasturing areas are the hyper prevalence of the abnormal blood lipid level.The etiology may be connected with the heredity susceptibility, on the other hand,the dietetic structure and habits can not be ignored.<P>
出处
《中国临床康复》
CSCD
2003年第9期1406-1407,共2页
Chinese Journal of Clinical Rehabilitation